Advocacy processes in mental health: a qualitative study

Stomski, Norman J.; Morrison, Paul; Whitely, Martin; Brennan, Pip

doi:10.1080/14780887.2017.1282567

Cited by 7 publications

(8 citation statements)

References 31 publications

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“…A qualitative meta-synthesis by Stomski et al (2017) found that healthcare providers rarely recognise that patients should have full control over decisions, and that patient participation is frequently characterised by tokenism. Myers (2016) recently identified a systemic lack of respect for the autonomy of hospitalised patients and a lack of true engagement in their care and treatment as a barrier to recovery.…”

Section: Discussionmentioning

confidence: 99%

“…There is only a limited empirical understanding of the mechanisms and processes by which inpatient treatment aids recovery of hospitalised mental health patients in distress (Smith & Spitzmueller, 2016;Thomas, Shattell, & Martin, 2002). Existing studies of established principles of inpatient care, such as genuine respect, collaboration, and promoting patient autonomy, tend to be implemented to only a limited extent (Oeye, Bjelland, Skorpen, & Anderssen, 2009;Oute, 2018;Stomski, Morrison, Whitely, & Brennan, 2017;Waldemar, Arnfred, Petersen, & Korsbek, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Being recognised as a whole person: A qualitative study of inpatient experience in mental health

Eldal

Natvik

Veseth

et al. 2019

Issues in Mental Health Nursing

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Few studies address the many challenges that are faced by staff and patients in the inpatient mental health context. In particular, there is a lack of research that explores first-hand patient experiences in order to establish what treatment practices best assist patient recovery and what are the barriers to these practices. This qualitative study, which utilises a user-involved research framework, collaborates with a co-researcher patient group throughout the study. Fourteen patients, all of whom had been in inpatient treatment for at least three weeks, were recruited to the study. Study participants were interviewed in-depth in the period September 2016 to March 2017. Data underwent a thematic analysis that was inspired by interpretative phenomenological analysis. A core theme of the findings was the importance of being recognised as a whole person, and the patient-professional relationship was regarded as a fundamental factor in fostering recovery, with two underlying themes: (i) a need to have one's self-identity recognised and supported, and (ii) an experience of ambivalence between needing closeness and distance. This study suggests ways nurses can give priority to interpersonal interactions and relationships with hospitalised patients over task-oriented duties, highlighting the need for nurses to balance patient competing needs for both closeness and distance.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Being recognised as a whole person: A qualitative study of inpatient experience in mental health

Eldal

Natvik

Veseth

et al. 2019

Issues in Mental Health Nursing

View full text Add to dashboard Cite

show abstract

“…In addition, cultural change requires time, and more immediate solutions are therefore required to foster service user participation in decision-making. As such, the importance of individual advocacy needs to be highlighted, as research has shown that health professionals are more accommodating of service user preferences when advocates attend consultations [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Participation in mental healthcare: a qualitative meta-synthesis

Stomski

Morrison

2017

Int J Ment Health Syst

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BackgroundFacilitation of service user participation in the co-production of mental healthcare planning and service delivery is an integral component of contemporary mental health policy and clinical guidelines. However, many service users continue to experience exclusion from the planning of their care. This review synthesizes qualitative research about participation in mental healthcare and articulates essential processes that enable service user participation in mental health care.MethodsElectronic databases were systematically searched. Studies were included if they were peer reviewed qualitative studies, published between 2000 and 2015, examining participation in mental health care. The Critical Appraisal Skills Program checklist was used to assess the quality of each included study. Constant comparison was used to identify similar constructs across several studies, which were then abstracted into thematic constructs.ResultsThe synthesis resulted in the identification of six principal themes, which articulate key processes that facilitate service user participation in mental healthcare. These themes included: exercising influence; tokenism; sharing knowledge; lacking capacity; respect; and empathy.ConclusionsThis meta-synthesis demonstrates that service user participation in mental healthcare remains a policy aspiration, which generally has not been translated into clinical practice. The continued lack of impact on policy on the delivery of mental healthcare suggests that change may have to be community driven. Systemic service user advocacy groups could contribute critically to promoting authentic service user participation in the co-production of mental health services.

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“…; Stomski et al . ). Consumers and their carers have expressed dissatisfaction with a lack of therapeutic engagement in mental health services (McAllister et al .…”

Section: What Is the Problem And Why Are Mental Health Care Plans Neementioning

confidence: 97%

“…It should also describe the strategies and resources to achieve these outcomes and should give clear criteria for assessing the satisfaction and outcomes of care for the consumer (Bee et al 2015a;McHugh & Byrne 2012). However, the research indicates that mental health service staff often fail to develop meaningful well thought out care plans with consumers (Bee et al 2015a;Bee et al 2015b;Doody et al 2017;Stomski et al 2017). Consumers and their carers have expressed dissatisfaction with a lack of therapeutic engagement in mental health services (McAllister et al 2019;Rydon 2005;Tee et al 2007;Theodoridou et al 2012;Walsh & Boyle 2009), and that they want strengthbased approaches based on concepts of recovery (Dobie, Bulla & Swanke 2010;Henderson et al 2010;Rose 2003).…”

Section: What Is the Problem And Why Are Mental Health Care Plans Neementioning

confidence: 99%

A lack of therapeutic engagement and consumer input in acute inpatient care planning limits fully accountable mental health nursing practice

Rio

Fuller

Taylor

et al. 2019

Int J Mental Health Nurs

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It is mental health consumer's human right to lead a fulfilling life as they are empowered to actively manage their recovery. This can be facilitated through care planning, yet research suggests that the care plan is not routinely created, discussed, or updated in acute mental health settings. Research on care planning and the role of the mental health nurse highlights the importance of therapeutic communication in care plan development. This paper argues that the lack of meaningful care plan discussions between consumers and mental health nurses in an acute setting is a limitation to the practice of fully accountable mental health nursing care. We explore this limitation in quality care provision by examining literature on accountability and conclude that in mental health nursing, accountability is frequently enacted through an overarching focus on the organizational need to manage risks, rather than on therapeutic engagement.

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Advocacy processes in mental health: a qualitative study

Cited by 7 publications

References 31 publications

Being recognised as a whole person: A qualitative study of inpatient experience in mental health

Being recognised as a whole person: A qualitative study of inpatient experience in mental health

Participation in mental healthcare: a qualitative meta-synthesis

A lack of therapeutic engagement and consumer input in acute inpatient care planning limits fully accountable mental health nursing practice

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